CCDTC Pay Pal Obedience/Rally Class Registration PagePlease answer all the questions asked in this form.One form per dog/class, please.There is a 4% charge for registering via Credit Card.Please be certain to fill in ALL the information asked for in the boxes.

* Indicates required field

Name *

First

Last

Full Address *

Email *

Your email will not be shared

Phone Number *

If trainee is under 18 yrs of age, enter name of parent or guardian who is authorizing *

Select your class: *

Start Date AND Class Time *

mm/dd/yy AND 0:00

Class Price: *

Dog's Name, Age, and Breed *

Class confirmations will be e-mailed or called shortly before starting date.Contact Page Belland (Registrar) if you have questions by email at ccdtcregistrar@gmail.com

ReleaseBy submitting this Registration form, I hereby release and agree to hold harmless the Clermont County Dog Training Club Inc., its instructors, trustees and officers from any personal injury or damage or injury to any dog owned by me, including any liability, cost or expenses associated with the foregoing, arising-out-of, or during training classes sponsored by CCDTC, inc.

In addition, I understand that it is my responsibility as a trainee to keep my dog(s) under control at all times before, during, and after classes, and to refrain from the use of harsh or abusive training methods at any CCDTC Inc. activity. Failure to comply with the above may result in loss of training privileges and forfeiture of monies paid.